Cancer Survivor Lifestyle Changes in Relationship to Depressive Symptoms, Hope, Social Support, and Quality of Life Open Access

Coleman, Shanice Ivy (2013)

Permanent URL: https://etd.library.emory.edu/concern/etds/dr26xx430?locale=en
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Abstract

Given the high prevalence of patients surviving cancer diagnosis and treatment, research is needed to understand the association between psychosocial factors and healthy behaviors, such as fruit and vegetable (FV) intake and physical activity (PA) among cancer survivors. In this secondary analysis of data from a study focusing on smoking among survivors of smoking-related cancers, we examined depressive symptoms, hope, social support, and quality of life in relation to FV intake and PA among cancer survivors. Participants with a history of smoking and a smoking-related cancer diagnosis (lung, oral, pharynx, larynx, esophagus, bladder, stomach, cervix, kidney, pancreas, acute myeloid leukemia) within the past four years were identified in the electronic medical record for the parent study focusing on smoking-related factors. We recruited 613 individuals to complete a mail-based survey and received 139 completed surveys (22.7% response rate). We assessed sociodemographics, type of cancer and treatment(s), psychosocial factors (depressive symptoms, hope, social support, quality of life), and selected health behaviors, specifically level of FV intake and PA. Overall, 90 (72%) cancer survivors reported consuming 5 or more FV per day, and 98 (77.8%) reported walking for exercise at least 4 times per week (n=128). After controlling for age, gender, and marital status, significant factors associated with consuming 5 or more FV per day included higher social support from a significant other (OR=1.20, CI (1.06, 1.35), p=.004) and being female (OR=3.13, CI (1.19, 8.33), p=.02). In reference to physical activity, the only significant factor associated with greater likelihood of walking for exercise was higher social support from friends (OR=1.19, CI (1.05, 1.33), p=.003). Understanding the psychosocial factors related to health promoting behaviors among cancer survivors is critical in developing interventions targeting healthy post-cancer lifestyles.

Table of Contents

Chapter 1: Introduction.........................1

Chapter 2: Literature Review.................4

Chapter 3: Methods..............................7

Chapter 4: Results................................12

Chapter 5: Discussion...........................13

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